JACK MATTHEW GARRUTO (NPI# 1407482979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407482979 |
| Entity Type | Individual |
| Full Name | JACK MATTHEW GARRUTO |
| Practice Address |
300 Pompton Rd Wayne NJ 07470-2103 |
| Mailing Address |
35 Dumont Ave Clifton NJ 07013-1006 |
| Practice Telephone | 9736329728 |
| Mailing Telephone | 9736329728 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
300 POMPTON RD |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194030882 | Katherine A Hinic | Nurse Practitioner | 300 Pompton Rd, Wpu Health & Wellness Center Overlook South, Wayne, NJ 07470-2103 | 2010-08-18 |
| 1073127809 | Bailey Wyrostek | Specialist/Technologist | 300 Pompton Rd, Wayne, NJ 07470-2103 | 2020-08-31 |
| 1346876588 | Onely Cabrera | Specialist/Technologist | 300 Pompton Rd, Wayne, NJ 07470-2103 | 2020-03-19 |
| 1184250615 | Raquel Prada - Galvez | Specialist/Technologist | 300 Pompton Rd, Wayne, NJ 07470-2103 | 2020-03-16 |
| 1831725464 | Rogreka Clayton | Student in an Organized Health Care Education/Training Program | 300 Pompton Rd, Wayne, NJ 07470-2103 | 2020-03-16 |
| 1699312637 | Alison Moquin | Specialist/Technologist | 300 Pompton Rd, Wayne, NJ 07470-2103 | 2019-12-10 |
| 1801455100 | Eric Johnson | Specialist/Technologist | 300 Pompton Rd, Wayne, NJ 07470-2103 | 2019-06-10 |
| 1780143107 | Sarah N Myers | Specialist/Technologist | 300 Pompton Rd, Wayne, NJ 07470-2103 | 2019-03-15 |
| 1356807424 | Richy Mendez | Specialist/Technologist | 300 Pompton Rd, Wayne, NJ 07470-2103 | 2019-02-13 |
| 1689138976 | Gillian Grahame | Specialist/Technologist | 300 Pompton Rd, Wayne, NJ 07470-2103 | 2019-01-30 |
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|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
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| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476694 | Jessica Lynn Collum | Specialist/Technologist | 57 Claremont Ter, Wayne, NJ 07470-5125 | 2020-01-14 |
| 1578114963 | Kari Lynn Romano | Specialist/Technologist | 1001 Eagle Rd, Wayne, PA 19087-3695 | 2019-09-26 |
| 1265990592 | Erica Schulman | Specialist/Technologist | 1 Cobble Stone Ct, Wayne, NJ 07470-4158 | 2019-03-05 |
| 1548766967 | Lauren Elaina Cianci | Specialist/Technologist | 47 Sunset Ter, Wayne, NJ 07470-4216 | 2018-04-04 |
| 1326555228 | Susan Christine Webb | Specialist/Technologist | 3919 Gloria St, Wayne, MI 48184-1956 | 2018-01-02 |
| 1073025284 | Salam Shaker | Specialist/Technologist | 824 Alps Rd, Wayne, NJ 07470-3905 | 2017-10-27 |
| 1861919896 | Noah Benjamin Karson | Specialist/Technologist | 38770 Crecent Ct, Wayne, MI 48184-1080 | 2017-08-30 |
| 1023546132 | Shawnah Kaye Kee | Specialist/Technologist | 314 E 4th St Apt 1, Wayne, NE 68787-2048 | 2017-06-02 |
| 1194176701 | Nancy Keil | Specialist/Technologist | 21 Packanack Lake Rd, Wayne, NJ 07470-5809 | 2016-06-24 |
| 1033351143 | Marc Camporeale | Specialist/Technologist | 551 Valley Rd, Wayne, NJ 07470-3525 | 2009-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.